| Entity Name: | FULL SPINE CHIROPRACTIC, LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 30 Jan 2017 (8 years ago) |
| Document Number: | L17000023465 |
| FEI/EIN Number | 81-5187234 |
| Address: | 621 NEWPORT AVE, ALTAMONTE SPRINGS, FL, 32701, US |
| Mail Address: | 621 NEWPORT AVE, ALTAMONTE SPRINGS, FL, 32701, US |
| ZIP code: | 32701 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1023518396 | 2018-02-13 | 2021-12-27 | 2077 ALOMA AVE, WINTER PARK, FL, 327923319, US | 2077 ALOMA AVE, WINTER PARK, FL, 327923319, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 407-790-4351 |
Authorized person
| Name | DR. JASON A MCWHIRTER |
| Role | OWNER/DOCTOR |
| Phone | 4077904351 |
Taxonomy
| Taxonomy Code | 261Q00000X - Clinic/Center |
| License Number | CH8120 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MCWHIRTER JASON DC | Agent | 621 NEWPORT AVE, ALTAMONTE SPRINGS, FL, 32701 |
| Name | Role | Address |
|---|---|---|
| MCWHIRTER JASON ADC | Manager | 621 NEWPORT AVE, ALTAMONTE SPRINGS, FL, 32701 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-08-08 | 621 NEWPORT AVE, ALTAMONTE SPRINGS, FL 32701 | No data |
| CHANGE OF MAILING ADDRESS | 2024-08-08 | 621 NEWPORT AVE, ALTAMONTE SPRINGS, FL 32701 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-08-08 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-02-16 |
| ANNUAL REPORT | 2021-03-04 |
| ANNUAL REPORT | 2020-03-16 |
| ANNUAL REPORT | 2019-04-30 |
| ANNUAL REPORT | 2018-03-09 |
| Florida Limited Liability | 2017-01-30 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
